VBS 2024

Breaker Rock Beach

July 8 -12

9am – 12pm

Kindergarten – 5th Grade

VBS Registration Form

Child’s Name(Required)
Parent/Guardian Name(Required)
Emergency Contact Name(Required)
(Other than listed above)
MM slash DD slash YYYY
Dismissal Information: Who may pick up your child at the end of each VBS day, If not you?
May we have permission to photograph your child?
May we have permission to use your child’s photograph for the purpose of promotion?

Section Break